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IRCT20171230038142N10 IRCT 2019-08-17 Esfahan University of Medical Sciences The effectiveness of shock wave therapy versus phonophoresis on improvement of clinical symptoms and function of patients with carpal tunnel syndrome(CTS) The effectiveness of shock wave therapy versus phonophoresis on improvement of clinical symptoms and function of patients with mild and moderate carpal tunnel syndrome 2019-05-06 anticipated 60 Complete https://irct.ir/trial/41322 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Sampling was done by non-probability sequential method. Sixty CTS patients were selected from patients referred to physical medicine clinics of Al-Zahra, Kashani, Issa bin Maryam and Khorshid hospitals in Isfahan, Iran. Controls), Blinding description: Patients were unaware of the research and statistical purposes of the study and how the treatments were compared, and data were provided to the data analyzer after being anonymized. N/A Carpal Tunnel Syndrome. Intervention 1: Intervention group: Includes 20 patients with carpal tunnel syndrome who in addition to thermoplastic varicella splint at 0 to 5 degrees extension for 4 weeks for overnight use and vitamin B1 tablet 300 mg daily for 30 days, 4 sessions of focus view shock, starting With energy of 0.05 and increase based on patient and protocol tolerance up to 0.07, 0.1 and 0.15 as well as start with shock number 800 and increase based on patient tolerance and protocol up to 900, 1000 and 1100 and with frequency They received 3 Hz per session. Intervention 2: Intervention group: Includes 20 patients with carpal tunnel syndrome who, in addition to thermoplastic splenic splint at 0 to 5 degrees of extension for 4 weeks for overnight use and vitamin B1 tablets 300 mg daily for 30 days, for two weeks, one day between and Each day for 15 minutes, they were pulsed (1 to 4) with 1 MHz frequency and 1 w / cm2 with 1% hydrocortisone ointment. Intervention 3: Control group: Including 20 patients with carpal tunnel syndrome who received only thermoplastic varicella splint at 0 to 5 degrees for 4 weeks for overnight use and vitamin B1 tablets 300 mg daily for 30 days. Yes - There is a plan to make this available What will be shared: All information is shared after anonymity and two years after the results are published. When: two years after the results are published To whom: Physicians and specialists in the field of physical medicine and rehabilitation Conditions: Comparison of existing methods with new methods or drugs Where to obtain: Email Haghighatshila@gmail.com and obtain permission from Isfahan University of Medical Sciences. How to obtain: Send request by email to Haghighatshila@gmail.com and obtain permission from Isfahan University of Medical Sciences. Comments:
public Shila Haghighat
Isfahan University of Medical Sciences, Hezar Jerib Ave.
Isfahan Iran (Islamic Republic of) 8174675731 +98 31 3670 0666 Haghighatshila@gmail.com Esfahan University of Medical Sciences scientific Shila Haghighat
Isfahan University of Medical Sciences, Hezar Jerib Ave.
Isfahan Iran (Islamic Republic of) 8174675731 +98 31 3670 0666 Haghighatshila@gmail.com Esfahan University of Medical Sciences Iran (Islamic Republic of) Patients who had mild to moderate CTS with sensory and motor examinations, Tinel and Falun tests, and electrodiagnostic findings for more than a month. Willingness to participate in the study no limit no limit Both Corticosteroid injection at least 3 months before the study Physical or medicinal modalities in the past 3 months Underlying conditions such as hypothyroidism, diabetes mellitus, rheumatic diseases, wrist arthritis, acute trauma or pregnancy Ultrasound and in vivo shock (pregnancy, acute inflammation, plastic implant, near pacemaker, on epiphysis, near the spinal cord or laminectomy site) History of surgery or fracture of the wrist area S64 Injury of nerves at wrist and hand level Treatment - Devices Treatment - Devices Diagnosis Intervention group: Includes 20 patients with carpal tunnel syndrome who in addition to thermoplastic varicella splint at 0 to 5 degrees extension for 4 weeks for overnight use and vitamin B1 tablet 300 mg daily for 30 days, 4 sessions of focus view shock, starting With energy of 0.05 and increase based on patient and protocol tolerance up to 0.07, 0.1 and 0.15 as well as start with shock number 800 and increase based on patient tolerance and protocol up to 900, 1000 and 1100 and with frequency They received 3 Hz per session. Intervention group: Includes 20 patients with carpal tunnel syndrome who, in addition to thermoplastic splenic splint at 0 to 5 degrees of extension for 4 weeks for overnight use and vitamin B1 tablets 300 mg daily for 30 days, for two weeks, one day between and Each day for 15 minutes, they were pulsed (1 to 4) with 1 MHz frequency and 1 w / cm2 with 1% hydrocortisone ointment. Control group: Including 20 patients with carpal tunnel syndrome who received only thermoplastic varicella splint at 0 to 5 degrees for 4 weeks for overnight use and vitamin B1 tablets 300 mg daily for 30 days. Pain. Timepoint: Before, one month and two months after intervention. Method of measurement: Using Visual Analogue Scale questionnaire. Function. Timepoint: Before, one month and two months after intervention. Method of measurement: Using the Bostone Status and Performance Questionnaire. Esfahan University of Medical Sciences Approved 2019-05-05 Ethics committee of Isfahan University of Medical Sciences Hezar Jarib Ave., Isfahan University of Medical Sciences. Isfahan Isfehan Iran (Islamic Republic of)